83_FR_47137 83 FR 46957 - Agency Information Collection Activities; Proposed Collection; Comment Request; Obtaining Information for Evaluating Nominated Bulk Drug Substances for Use in Compounding Drug Products Under Section 503B of the Federal Food, Drug, and Cosmetic Act

83 FR 46957 - Agency Information Collection Activities; Proposed Collection; Comment Request; Obtaining Information for Evaluating Nominated Bulk Drug Substances for Use in Compounding Drug Products Under Section 503B of the Federal Food, Drug, and Cosmetic Act

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 180 (September 17, 2018)

Page Range46957-46959
FR Document2018-20092

The Food and Drug Administration (FDA or Agency) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information and to allow 60 days for public comment in response to the notice. This notice solicits comments on information collection associated with FDA research in obtaining information from medical specialty groups and/or medical experts regarding compounded drug products that contain certain bulk drug substances to support establishment of a list of bulk drug substances under section 503B of the Federal Food, Drug, and Cosmetic Act (FD&C Act).

Federal Register, Volume 83 Issue 180 (Monday, September 17, 2018)
[Federal Register Volume 83, Number 180 (Monday, September 17, 2018)]
[Notices]
[Pages 46957-46959]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-20092]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-2973]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Obtaining Information for Evaluating Nominated Bulk 
Drug Substances for Use in Compounding Drug Products Under Section 503B 
of the Federal Food, Drug, and Cosmetic Act

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
an opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(PRA), Federal Agencies are required to publish notice in the Federal 
Register concerning each proposed collection of information and to 
allow 60 days for public comment in response to the notice. This notice 
solicits comments on information collection associated with FDA 
research in obtaining information from medical specialty groups and/or 
medical experts regarding compounded drug products that contain certain 
bulk drug substances to support establishment of a list of bulk drug 
substances under section 503B of the Federal Food, Drug, and Cosmetic 
Act (FD&C Act).

DATES: Submit either electronic or written comments on the collection 
of information by November 16, 2018.

ADDRESSES: You may submit comments as follows. Please note that late, 
untimely filed comments will not be considered. Electronic comments 
must be submitted on or before November 16, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of November 16, 2018. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-N-2973 for ``Obtaining Information for Evaluating Nominated 
Bulk Drug Substances for Use in Compounding Drug Products Under Section 
503B of the Federal Food, Drug, and Cosmetic Act.'' Received comments, 
those filed in a timely manner (see ADDRESSES), will be placed in the 
docket and, except for those submitted as ``Confidential Submissions,'' 
publicly viewable at https://www.regulations.gov or at the Dockets 
Management Staff between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Domini Bean, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 301-796-5733, 
[email protected].

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information before 
submitting the collection to OMB for approval. To comply with this

[[Page 46958]]

requirement, FDA is publishing notice of the proposed collection of 
information set forth in this document.
    With respect to the following collection of information, FDA 
invites comments on these topics: (1) Whether the proposed collection 
of information is necessary for the proper performance of FDA's 
functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.

Clinical Use of Bulk Drug Substances Nominated for Use in Compounding 
by Outsourcing Facilities

OMB Control Number 0910--NEW

    This information collection supports Agency-sponsored research. 
Section 503B of the FD&C Act requires FDA to develop a list of bulk 
drug substances that may be used in compounding under that section 
(503B bulks list). Compounding includes the combining, admixing, 
mixing, diluting, pooling, reconstituting, or otherwise altering of a 
drug or bulk drug substance to create a drug. If certain conditions are 
met, drug products compounded by entities known as outsourcing 
facilities are exempt from the following requirements of the FD&C Act: 
Requirements for FDA approval of drugs, labeling with adequate 
directions for use, and drug supply chain security requirements. 
Outsourcing facilities can only use a bulk drug substance to compound 
drugs if: (1) The substance appears on a list developed by FDA of bulk 
drug substances for which there is a clinical need (``bulks list'') or 
(2) the substance is used to compound a drug on FDA's drug shortage 
list at the time of compounding, distribution, and dispensing.
    Many bulk drug substances have been nominated by the public for use 
in compounding by outsourcing facilities with adequate supporting 
information for FDA to evaluate them. The substances were nominated to 
treat a variety of conditions, ranging in degree of severity from 
treatment of warts to treatment of cancer. To inform our evaluation of 
bulk drug substances for inclusion on the 503B bulks list, we have 
proposed a research study with the University of Maryland (UMD) Center 
of Excellence in Regulatory Science and Innovation (CERSI) and the 
Johns Hopkins University (JHU) CERSI. We intend to seek input from the 
CERSI-UMD on the use of these bulk drug substances in clinical practice 
by examining their current and historical use in compounding. 
Information regarding the historical and current use of the substances 
in compounding obtained by this research will help inform our 
assessments as to the clinical need for outsourcing facilities to use 
the substance in compounding.
    FDA's analysis concerning clinical need of nominated bulk drug 
substances consists of two parts. The collaboration with CERSI-UMD and 
CERSI-JHU pertains to part 2 of the analysis, which applies to bulk 
drug substances that are not components of FDA-approved drug products, 
as well as certain bulk drug substances that are components of FDA-
approved drug products and have successfully completed part 1. One of 
the factors that FDA considers under part 2 is ``current and historical 
use of the substance in compounded drug products, including information 
about the medical condition(s) that the substance has been used to 
treat and any references in peer-reviewed medical literature.''
    As needed, researchers will also engage outsourcing facilities that 
have compounded using the bulk drug substance. Researchers may use 
surveys, interviews, focus groups, and other information collect tools, 
as appropriate, to obtain information concerning the use of compounded 
product(s) from medical experts and outsourcing facilities. Within this 
context, the following questions may be posed:
    1. What are the health conditions that the compounded drug is 
currently and has been historically used to treat? What is the patient 
population for which the compound drug has been used to treat?
    2. What are the characteristics of the compounded drugs using the 
bulk drug substance (e.g., dosage form, strength, route of 
administration)?
    3. Is the compounded drug considered standard therapy by healthcare 
practitioners, and is it recommended in clinical practice guidelines? 
If so, under what circumstances?
    4. Does an approved drug exist for the health condition that the 
compounded drug product is used to treat? If so, what are the 
circumstances under which a compounded drug product using the bulk drug 
substance would be used in lieu of the approved drug product?
    5. What is the historical use of the compounded drug to treat the 
health conditions identified, including the number of years during 
which the compounded drug has been prescribed for each use, and any 
change regarding its use over time?
    6. To what extent do practitioners prescribe the compounded drug to 
treat each health condition identified? How many such prescriptions 
and/or orders have been written in the past 5 years? Have there been 
any notable changes in the number of prescriptions and/or orders 
written over this time?
    7. How widespread is the use of the compounded drug product, 
including use in other countries?
    8. Do practitioners order the compounded drug to maintain on hand 
before a patient presents with a need for the drug (``office stock''), 
or do practitioners typically write prescriptions for a patient after 
the patient presents with a need for the compounded drug? If the 
former, why (e.g., emergency situations, convenience)?
    9. What, if any, information exists regarding the effectiveness of 
the compounded drug product in treating the specified health condition?
    We estimate the burden of the collection of information as follows:

                                                     Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                         Number of
                       Information collection                           Number of      responses per     Total annual    Average burden    Total hours
                                                                       respondents       respondent       responses       per response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Focus groups and interviews........................................             150               10            1,500                2            3,000
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.


[[Page 46959]]

    We base our estimate of the average burden per response on review 
activities familiar to the Agency. Noting that 2 hours per response is 
a significant amount of time, we are particularly interested in 
feedback regarding this estimate, including comments regarding how an 
alternative estimate might be derived.

    Dated: September 11, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-20092 Filed 9-14-18; 8:45 am]
 BILLING CODE 4164-01-P



                                                                         Federal Register / Vol. 83, No. 180 / Monday, September 17, 2018 / Notices                                           46957

                                                 Authority: Section 1110 of the Social                 Electronic Submissions                                submission. You should submit two
                                               Security Act.                                                                                                 copies total. One copy will include the
                                                                                                         Submit electronic comments in the
                                               Emily B. Jabbour,                                       following way:                                        information you claim to be confidential
                                               ACF/OPRE Certifying Officer.                              • Federal eRulemaking Portal:                       with a heading or cover note that states
                                                                                                       https://www.regulations.gov. Follow the               ‘‘THIS DOCUMENT CONTAINS
                                               [FR Doc. 2018–20068 Filed 9–14–18; 8:45 am]
                                                                                                       instructions for submitting comments.                 CONFIDENTIAL INFORMATION.’’ The
                                               BILLING CODE 4184–07–P
                                                                                                       Comments submitted electronically,                    Agency will review this copy, including
                                                                                                       including attachments, to https://                    the claimed confidential information, in
                                                                                                       www.regulations.gov will be posted to                 its consideration of comments. The
                                               DEPARTMENT OF HEALTH AND
                                                                                                       the docket unchanged. Because your                    second copy, which will have the
                                               HUMAN SERVICES
                                                                                                                                                             claimed confidential information
                                                                                                       comment will be made public, you are
                                               Food and Drug Administration                                                                                  redacted/blacked out, will be available
                                                                                                       solely responsible for ensuring that your
                                                                                                                                                             for public viewing and posted on
                                                                                                       comment does not include any
                                                                                                                                                             https://www.regulations.gov. Submit
                                               [Docket No. FDA–2018–N–2973]                            confidential information that you or a
                                                                                                                                                             both copies to the Dockets Management
                                                                                                       third party may not wish to be posted,
                                               Agency Information Collection                                                                                 Staff. If you do not wish your name and
                                                                                                       such as medical information, your or
                                               Activities; Proposed Collection;                                                                              contact information to be made publicly
                                                                                                       anyone else’s Social Security number, or
                                               Comment Request; Obtaining                                                                                    available, you can provide this
                                                                                                       confidential business information, such
                                               Information for Evaluating Nominated                                                                          information on the cover sheet and not
                                                                                                       as a manufacturing process. Please note
                                               Bulk Drug Substances for Use in                                                                               in the body of your comments and you
                                                                                                       that if you include your name, contact
                                               Compounding Drug Products Under                                                                               must identify this information as
                                                                                                       information, or other information that
                                               Section 503B of the Federal Food,                                                                             ‘‘confidential.’’ Any information marked
                                                                                                       identifies you in the body of your
                                               Drug, and Cosmetic Act                                                                                        as ‘‘confidential’’ will not be disclosed
                                                                                                       comments, that information will be
                                                                                                                                                             except in accordance with 21 CFR 10.20
                                                                                                       posted on https://www.regulations.gov.
                                               AGENCY:    Food and Drug Administration,                                                                      and other applicable disclosure law. For
                                                                                                         • If you want to submit a comment
                                               HHS.                                                                                                          more information about FDA’s posting
                                                                                                       with confidential information that you
                                               ACTION:   Notice.                                                                                             of comments to public dockets, see 80
                                                                                                       do not wish to be made available to the
                                                                                                                                                             FR 56469, September 18, 2015, or access
                                                                                                       public, submit the comment as a
                                               SUMMARY:    The Food and Drug                                                                                 the information at: https://www.gpo.gov/
                                                                                                       written/paper submission and in the
                                               Administration (FDA or Agency) is                                                                             fdsys/pkg/FR-2015-09-18/pdf/2015-
                                                                                                       manner detailed (see ‘‘Written/Paper
                                               announcing an opportunity for public                                                                          23389.pdf.
                                                                                                       Submissions’’ and ‘‘Instructions’’).                     Docket: For access to the docket to
                                               comment on the proposed collection of
                                               certain information by the Agency.                      Written/Paper Submissions                             read background documents or the
                                               Under the Paperwork Reduction Act of                                                                          electronic and written/paper comments
                                                                                                          Submit written/paper submissions as
                                               1995 (PRA), Federal Agencies are                                                                              received, go to https://
                                                                                                       follows:
                                               required to publish notice in the                                                                             www.regulations.gov and insert the
                                                                                                          • Mail/Hand delivery/Courier (for
                                               Federal Register concerning each                                                                              docket number, found in brackets in the
                                                                                                       written/paper submissions): Dockets
                                               proposed collection of information and                                                                        heading of this document, into the
                                                                                                       Management Staff (HFA–305), Food and
                                               to allow 60 days for public comment in                                                                        ‘‘Search’’ box and follow the prompts
                                                                                                       Drug Administration, 5630 Fishers
                                               response to the notice. This notice                                                                           and/or go to the Dockets Management
                                                                                                       Lane, Rm. 1061, Rockville, MD 20852.
                                               solicits comments on information                                                                              Staff, 5630 Fishers Lane, Rm. 1061,
                                                                                                          • For written/paper comments
                                               collection associated with FDA research                                                                       Rockville, MD 20852.
                                                                                                       submitted to the Dockets Management
                                               in obtaining information from medical                   Staff, FDA will post your comment, as                 FOR FURTHER INFORMATION CONTACT:
                                               specialty groups and/or medical experts                 well as any attachments, except for                   Domini Bean, Office of Operations,
                                               regarding compounded drug products                      information submitted, marked and                     Food and Drug Administration, Three
                                               that contain certain bulk drug                          identified, as confidential, if submitted             White Flint North, 10A–12M, 11601
                                               substances to support establishment of a                as detailed in ‘‘Instructions.’’                      Landsdown St., North Bethesda, MD
                                               list of bulk drug substances under                         Instructions: All submissions received             20852, 301–796–5733, PRAStaff@
                                               section 503B of the Federal Food, Drug,                 must include the Docket No. FDA–                      fda.hhs.gov.
                                               and Cosmetic Act (FD&C Act).                            2018–N–2973 for ‘‘Obtaining                           SUPPLEMENTARY INFORMATION: Under the
                                               DATES: Submit either electronic or                      Information for Evaluating Nominated                  PRA (44 U.S.C. 3501–3520), Federal
                                               written comments on the collection of                   Bulk Drug Substances for Use in                       Agencies must obtain approval from the
                                               information by November 16, 2018.                       Compounding Drug Products Under                       Office of Management and Budget
                                               ADDRESSES: You may submit comments                      Section 503B of the Federal Food, Drug,               (OMB) for each collection of
                                               as follows. Please note that late,                      and Cosmetic Act.’’ Received comments,                information they conduct or sponsor.
                                               untimely filed comments will not be                     those filed in a timely manner (see                   ‘‘Collection of information’’ is defined
                                               considered. Electronic comments must                    ADDRESSES), will be placed in the docket              in 44 U.S.C. 3502(3) and 5 CFR
                                               be submitted on or before November 16,                  and, except for those submitted as                    1320.3(c) and includes Agency requests
                                               2018. The https://www.regulations.gov                   ‘‘Confidential Submissions,’’ publicly                or requirements that members of the
                                               electronic filing system will accept                    viewable at https://www.regulations.gov               public submit reports, keep records, or
                                               comments until midnight Eastern Time                    or at the Dockets Management Staff                    provide information to a third party.
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                                               at the end of November 16, 2018.                        between 9 a.m. and 4 p.m., Monday                     Section 3506(c)(2)(A) of the PRA (44
                                               Comments received by mail/hand                          through Friday.                                       U.S.C. 3506(c)(2)(A)) requires Federal
                                               delivery/courier (for written/paper                        • Confidential Submissions—To                      Agencies to provide a 60-day notice in
                                               submissions) will be considered timely                  submit a comment with confidential                    the Federal Register concerning each
                                               if they are postmarked or the delivery                  information that you do not wish to be                proposed collection of information
                                               service acceptance receipt is on or                     made publicly available, submit your                  before submitting the collection to OMB
                                               before that date.                                       comments only as a written/paper                      for approval. To comply with this


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                                               46958                         Federal Register / Vol. 83, No. 180 / Monday, September 17, 2018 / Notices

                                               requirement, FDA is publishing notice                            Many bulk drug substances have been                   1. What are the health conditions that
                                               of the proposed collection of                                 nominated by the public for use in                    the compounded drug is currently and
                                               information set forth in this document.                       compounding by outsourcing facilities                 has been historically used to treat? What
                                                  With respect to the following                              with adequate supporting information                  is the patient population for which the
                                               collection of information, FDA invites                        for FDA to evaluate them. The                         compound drug has been used to treat?
                                               comments on these topics: (1) Whether                         substances were nominated to treat a                     2. What are the characteristics of the
                                               the proposed collection of information                        variety of conditions, ranging in degree              compounded drugs using the bulk drug
                                               is necessary for the proper performance                       of severity from treatment of warts to                substance (e.g., dosage form, strength,
                                               of FDA’s functions, including whether                         treatment of cancer. To inform our                    route of administration)?
                                               the information will have practical                           evaluation of bulk drug substances for                   3. Is the compounded drug considered
                                               utility; (2) the accuracy of FDA’s                            inclusion on the 503B bulks list, we                  standard therapy by healthcare
                                               estimate of the burden of the proposed                        have proposed a research study with the               practitioners, and is it recommended in
                                               collection of information, including the                      University of Maryland (UMD) Center of                clinical practice guidelines? If so, under
                                               validity of the methodology and                               Excellence in Regulatory Science and                  what circumstances?
                                               assumptions used; (3) ways to enhance                         Innovation (CERSI) and the Johns
                                                                                                             Hopkins University (JHU) CERSI. We                       4. Does an approved drug exist for the
                                               the quality, utility, and clarity of the
                                                                                                             intend to seek input from the CERSI–                  health condition that the compounded
                                               information to be collected; and (4)
                                                                                                             UMD on the use of these bulk drug                     drug product is used to treat? If so, what
                                               ways to minimize the burden of the
                                                                                                             substances in clinical practice by                    are the circumstances under which a
                                               collection of information on
                                                                                                             examining their current and historical                compounded drug product using the
                                               respondents, including through the use
                                                                                                             use in compounding. Information                       bulk drug substance would be used in
                                               of automated collection techniques,
                                                                                                             regarding the historical and current use              lieu of the approved drug product?
                                               when appropriate, and other forms of
                                               information technology.                                       of the substances in compounding                         5. What is the historical use of the
                                                                                                             obtained by this research will help                   compounded drug to treat the health
                                               Clinical Use of Bulk Drug Substances                          inform our assessments as to the clinical             conditions identified, including the
                                               Nominated for Use in Compounding by                           need for outsourcing facilities to use the            number of years during which the
                                               Outsourcing Facilities                                        substance in compounding.                             compounded drug has been prescribed
                                               OMB Control Number 0910—NEW                                      FDA’s analysis concerning clinical                 for each use, and any change regarding
                                                                                                             need of nominated bulk drug substances                its use over time?
                                                  This information collection supports                       consists of two parts. The collaboration                 6. To what extent do practitioners
                                               Agency-sponsored research. Section                            with CERSI–UMD and CERSI–JHU                          prescribe the compounded drug to treat
                                               503B of the FD&C Act requires FDA to                          pertains to part 2 of the analysis, which             each health condition identified? How
                                               develop a list of bulk drug substances                        applies to bulk drug substances that are              many such prescriptions and/or orders
                                               that may be used in compounding under                         not components of FDA-approved drug                   have been written in the past 5 years?
                                               that section (503B bulks list).                               products, as well as certain bulk drug                Have there been any notable changes in
                                               Compounding includes the combining,                           substances that are components of FDA-                the number of prescriptions and/or
                                               admixing, mixing, diluting, pooling,                          approved drug products and have                       orders written over this time?
                                               reconstituting, or otherwise altering of a                    successfully completed part 1. One of
                                               drug or bulk drug substance to create a                                                                                7. How widespread is the use of the
                                                                                                             the factors that FDA considers under                  compounded drug product, including
                                               drug. If certain conditions are met, drug                     part 2 is ‘‘current and historical use of
                                               products compounded by entities                                                                                     use in other countries?
                                                                                                             the substance in compounded drug
                                               known as outsourcing facilities are                                                                                    8. Do practitioners order the
                                                                                                             products, including information about
                                               exempt from the following requirements                                                                              compounded drug to maintain on hand
                                                                                                             the medical condition(s) that the
                                               of the FD&C Act: Requirements for FDA                                                                               before a patient presents with a need for
                                                                                                             substance has been used to treat and any
                                               approval of drugs, labeling with                              references in peer-reviewed medical                   the drug (‘‘office stock’’), or do
                                               adequate directions for use, and drug                         literature.’’                                         practitioners typically write
                                               supply chain security requirements.                              As needed, researchers will also                   prescriptions for a patient after the
                                               Outsourcing facilities can only use a                         engage outsourcing facilities that have               patient presents with a need for the
                                               bulk drug substance to compound drugs                         compounded using the bulk drug                        compounded drug? If the former, why
                                               if: (1) The substance appears on a list                       substance. Researchers may use surveys,               (e.g., emergency situations,
                                               developed by FDA of bulk drug                                 interviews, focus groups, and other                   convenience)?
                                               substances for which there is a clinical                      information collect tools, as appropriate,               9. What, if any, information exists
                                               need (‘‘bulks list’’) or (2) the substance                    to obtain information concerning the                  regarding the effectiveness of the
                                               is used to compound a drug on FDA’s                           use of compounded product(s) from                     compounded drug product in treating
                                               drug shortage list at the time of                             medical experts and outsourcing                       the specified health condition?
                                               compounding, distribution, and                                facilities. Within this context, the                     We estimate the burden of the
                                               dispensing.                                                   following questions may be posed:                     collection of information as follows:

                                                                                                   TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                Number of                               Average
                                                                                                                              Number of                           Total annual
                                                                      Information collection                                                  responses per                           burden per   Total hours
                                                                                                                             respondents                           responses
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                                                                                                                                                respondent                             response

                                               Focus groups and interviews ...............................................       150                  10             1,500                2          3,000
                                                  1 There   are no capital costs or operating and maintenance costs associated with this collection of information.




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                                                                         Federal Register / Vol. 83, No. 180 / Monday, September 17, 2018 / Notices                                                  46959

                                                 We base our estimate of the average                     Dated: September 11, 2018.                             The committee shall consist of a core
                                               burden per response on review activities                Leslie Kux,                                           of 13 voting members including the
                                               familiar to the Agency. Noting that 2                   Associate Commissioner for Policy.                    Chair. Members and the Chair are
                                               hours per response is a significant                     [FR Doc. 2018–20091 Filed 9–14–18; 8:45 am]           selected by the Commissioner or
                                               amount of time, we are particularly                     BILLING CODE 4164–01–P                                designee from among authorities
                                               interested in feedback regarding this                                                                         knowledgeable in the fields of general
                                               estimate, including comments regarding                                                                        oncology, pediatric oncology,
                                               how an alternative estimate might be                    DEPARTMENT OF HEALTH AND                              hematologic oncology, immunology
                                               derived.                                                HUMAN SERVICES                                        oncology, biostatistics, and other related
                                                 Dated: September 11, 2018.                                                                                  professions. Members will be invited to
                                                                                                       Food and Drug Administration                          serve for overlapping terms of up to 4
                                               Leslie Kux,
                                                                                                       [Docket No. FDA–2018–N–3236]                          years. Almost all non-Federal members
                                               Associate Commissioner for Policy.
                                                                                                                                                             of this committee serve as Special
                                               [FR Doc. 2018–20092 Filed 9–14–18; 8:45 am]
                                                                                                       Advisory Committee; Oncologic Drugs                   Government Employees. The core of
                                               BILLING CODE 4164–01–P                                                                                        voting members may include one
                                                                                                       Advisory Committee; Renewal
                                                                                                                                                             technically qualified member, selected
                                                                                                       AGENCY:    Food and Drug Administration,              by the Commissioner or designee, who
                                               DEPARTMENT OF HEALTH AND                                HHS.
                                                                                                                                                             is identified with consumer interests
                                               HUMAN SERVICES                                          ACTION:Notice; renewal of advisory                    and is recommended by either a
                                                                                                       committee.                                            consortium of consumer-oriented
                                               Food and Drug Administration
                                                                                                       SUMMARY:   The Food and Drug                          organizations or other interested
                                                                                                       Administration (FDA) is announcing the                persons. In addition to the voting
                                               [Docket No. FDA–2018–N–3431]
                                                                                                       renewal of the Oncologic Drugs                        members, the committee may include
                                               Anesthetic and Analgesic Drug                           Advisory Committee by the                             one non-voting member who is
                                               Products Advisory Committee; Notice                     Commissioner of Food and Drugs (the                   identified with industry interests.
                                               of Meeting; Establishment of a Public                   Commissioner). The Commissioner has                      Further information regarding the
                                               Docket; Request for Comments;                           determined that it is in the public                   most recent charter and other
                                               Correction                                              interest to renew the Oncologic Drugs                 information can be found at https://
                                                                                                       Advisory Committee for an additional 2                www.fda.gov/AdvisoryCommittees/
                                               AGENCY:    Food and Drug Administration,                years beyond the charter expiration                   CommitteesMeetingMaterials/Drugs/
                                               HHS.                                                    date. The new charter will be in effect               OncologicDrugsAdvisoryCommittee/
                                                                                                       until September 1, 2020.                              ucm107395.htm or by contacting the
                                               ACTION:   Notice; correction.                                                                                 Designated Federal Officer (see FOR
                                                                                                       DATES: Authority for the Oncologic
                                                                                                       Drugs Advisory Committee will expire                  FURTHER INFORMATION CONTACT). In light
                                               SUMMARY:   The Food and Drug                            on September 1, 2020, unless the                      of the fact that no change has been made
                                               Administration is correcting a notice                   Commissioner formally determines that                 to the committee name or description of
                                               entitled ‘‘Anesthetic and Analgesic Drug                renewal is in the public interest.                    duties, no amendment will be made to
                                               Products Advisory Committee; Notice of                                                                        21 CFR 14.100.
                                                                                                       FOR FURTHER INFORMATION CONTACT:
                                               Meeting; Establishment of a Public                                                                               This document is issued under the
                                                                                                       Lauren Tesh, Center for Drug Evaluation
                                               Docket; Request for Comments’’ that                                                                           Federal Advisory Committee Act (5
                                                                                                       and Research, Food and Drug
                                               appeared in the Federal Register of                                                                           U.S.C. app.). For general information
                                                                                                       Administration, 10903 New Hampshire
                                               September 11, 2018. The document                                                                              related to FDA advisory committees,
                                                                                                       Ave., Bldg. 31, Rm. 2417, Silver Spring,
                                               announced a forthcoming public                                                                                please check https://www.fda.gov/
                                                                                                       MD 20993–0002, 301–796–9001, email:
                                               advisory committee meeting of the                                                                             AdvisoryCommittees/default.htm.
                                                                                                       ODAC@fda.hhs.gov.
                                               Anesthetic and Analgesic Drug Products                                                                          Dated: September 11, 2018.
                                                                                                       SUPPLEMENTARY INFORMATION: Pursuant
                                               Advisory Committee and establishment
                                               of a public docket for comments. The                    to 41 CFR 102–3.65 and approval by the                Leslie Kux,
                                               document was published with the                         Department of Health and Human                        Associate Commissioner for Policy.
                                                                                                       Services pursuant to 45 CFR part 11 and               [FR Doc. 2018–20108 Filed 9–14–18; 8:45 am]
                                               incorrect docket number. This
                                                                                                       by the General Services Administration,
                                               document corrects that error.                                                                                 BILLING CODE 4164–01–P
                                                                                                       FDA is announcing the renewal of the
                                               FOR FURTHER INFORMATION CONTACT:    Lisa                Oncologic Drugs Advisory Committee.
                                               Granger, Office of Policy and Planning,                 The committee is a discretionary                      DEPARTMENT OF HEALTH AND
                                               Food and Drug Administration, 10903                     Federal advisory committee established                HUMAN SERVICES
                                               New Hampshire Ave., Bldg. 32, Rm.                       to provide advice to the Commissioner.
                                               3330, Silver Spring, MD 20993–0002,                        The Oncologic Drugs Advisory                       Food and Drug Administration
                                               301–796–9115.                                           Committee advises the Commissioner or
                                                                                                                                                             [Docket No. FDA–2018–N–0001]
                                                                                                       designee in discharging responsibilities
                                               SUPPLEMENTARY INFORMATION:      In the                  as they relate to helping to ensure safe
                                               Federal Register of Tuesday, September                                                                        Pathogen Reduction Technologies for
                                                                                                       and effective drugs for human use and,                Blood Safety; Public Workshop
                                               11, 2018 (83 FR 45941), in FR Doc.                      as required, any other product for which
                                               2018–19667, on page 45941, the                          FDA has regulatory responsibility.                    AGENCY:    Food and Drug Administration,
daltland on DSKBBV9HB2PROD with NOTICES




                                               following correction is made:                              The committee reviews and evaluates                HHS.
                                                  On page 45941, in the first column, in               data concerning the safety and                        ACTION:   Notice of public workshop.
                                               the header of the document, and also in                 effectiveness of marketed and
                                               the third column under Instructions,                    investigational human drug products for               SUMMARY:  The Food and Drug
                                               ‘‘Docket No. FDA–2018–N–3276’’ is                       use in the treatment of cancer and                    Administration (FDA) is announcing the
                                               corrected to read ‘‘Docket No. FDA–                     makes appropriate recommendations to                  following public workshop entitled
                                               2018–N–3431’’.                                          the Commissioner.                                     ‘‘Pathogen Reduction Technologies for


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Document Created: 2018-09-15 01:37:37
Document Modified: 2018-09-15 01:37:37
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments on the collection of information by November 16, 2018.
ContactDomini Bean, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-5733, [email protected]
FR Citation83 FR 46957 

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